Call consultant

You call the consultant out from the meeting with the family. The consultant arrives shortly afterwards to review baby. Together you check that baby is being ventilated effectively, and that drugs have been prescribed correctly and have been administered.

The consultant picks up that prostacyclin was prescribed on the drug chart, and not prostaglandin. Prostacyclin (also known as Epoprostenol or Flolan) is used as a pulmonary vasodilator, NOT to maintain ductal patency. The infusion is stopped and the baby is started on prostaglandin infusion. Within 5 minutes the oxygen saturations improve to above 70%.

The consultant comments that there has been a substantial period of critical hypoxaemia, as a result of the delay in starting prostaglandin infusion.

Bella is transferred to the cardiac referral centre, where she is a diagnosed with Fallot’s tetralogy with critical pulmonary stenosis. She undergoes an emergency balloon valvotomy, before having a modified Blalock-Taussig shunt.

Bella is reviewed in the local developmental clinic at 12 months of age.

She has delayed gross motor and fine motor milestones. Her mother had been told that this may have been due to brain damage as a result of low oxygen levels. However, she is well from a cardiac perspective.

Outcome: moderate learning difficulties

Map: TAME case 6- Bella (Tutorial 1) (328)
Node: 8144
Score:

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OpenLabyrinth
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  • Se ríe de su madre.
  • Traits
  • He laughs at his mother.
  • He starts crying.
  • Προτείνεις να ζητήσουμε χρήματα από την τράπεζα.
  • Activitatea este interpretarea unor roluri.
  • Fluidity
  • Παραμονή του stent και παρακολούθηση
  • Call consultant
  • Intravenous Dexamethasone
  • Patient has elevated liver enzymes
  • Administer thrombolysis
  • Nebulised Adrenaline
  • виклик 112
  • We decide to do a charity bazaar.
  • Προτείνεις να δώσεις χρήματα από τον κουμπαρά σου.
  • Node 5: Reassure her technology is easy to use
  • Κάνω επιπλέον ερωτήσεις για τη συνολική κατάσταση της υγείας δεδομένου πως πρόκειται για υπερήλικα
  • Αρχίζει να κλαίει.
  • Comienza a llorar.
  • Selective permeability
  • Brinca com os amigos.
  • Intravenous Dexamethasone
  • ΠΑΡΕΣΗ ΑΠΑΓΩΓΟΥ ΝΕΥΡΟΥ ΔΕΞΙΑ
  • Educating your patient on self-management
  • Μείωση των kV από 120 σε 100 και ταυτόχρονα αύξηση των mAs από 50 σε 80.
  • Conuri de pin
  • Κάνει αυστηρή δίαιτα
  • Μετακόμιση σε νέο σπίτι.
  • STEM info
  • Мій друг пройшов процедуру катетерної абляції при ФП і після цього не мав аритмій. Я повинен попросити таке ж направлення.
  • Čas raje preživi z učiteljico.
  • Μειώνει την πρόσληψη ζάχαρης
  • Ώριμα φύλλα βελανιδιάς
  • Allele
  • Exlpain the procedure and ask for consensus
  • Νιώθει καλύτερα και σταματά να παίρνει τα φάρμακά της
  • Περπάτημα παρά τον καύσωνα
  • ΚΛΙΝΙΚΗ ΕΞΕΤΑΣΗ
  • Start by immersing the pipette in the liquid you intent to aspirate.
  • new node
  • Let the lady with the green umbrella keep holding the neighbour's elbow and try to lead her away from the scene.
  • Patient says it might be gout and requests for a specific medication
  • Call consultant

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